License Directory

Kenneth R Diddie Md

Expired

Illinois license 036050025

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036050025
Status
Expired (Not Renewed)
First issued
October 10, 1974
Expired
July 31, 2014
License holder
Kenneth R Diddie Md
Entity type
Individual

Classifications

More from the license record

Current term began
07/25/2011

Other Illinois licenses under this name

  • IL
    Kenneth R Diddie Md
    License 33*****82
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Chicago
    Expired Sep 1, 1982

Contact

Westlake Village, CA 91361
California County